services

We are among first clinics outside hospital environment to have onsite IMT technology.

 

The newest addition to the available tests on site is the IMT (Intimal Medial Thickness) testing. This is state-of-the-art technology used to detect presence of atherosclerotic disease in humans and to track regression, arrest or progression of atherosclerosis. It enables the most accurate detection of atherosclerotic disease.

 

We also offer state-of-the-art four dimensional echocardiography of the heart, including its chambers and valves. This gives us the ability to see inside the heart.

 

We understand your need to resume the productive and pleasurable activities of daily living while reducing the risk of future health problems. We can help.

 

You are unique - so is your treatment.

Tests & Treatments

Dr. Ovchinnikov and his team will diagnose and treat you with regular follow up for:

Heart Failure
What is heart failure?

Heart failure (HF), also known as congestive heart failure, is a common condition that develops after the heart becomes damaged or weakened by diseases of the heart including heart attacks and other medical conditions. HF occurs when the pumping action of your heart is not strong enough to move blood around, especially during increased activity or under stress. In addition, the heart muscle may not relax properly to accommodate the flow of blood back from the lungs to the heart. These abnormalities in heart function can cause fluid to back up in your lungs and in other parts of your body such as your ankles. The congestion in your lungs and lack of oxygen may make you feel tired and short of breath. Sometimes the fluid in your lungs can accumulate to the point where it can cause a life-threatening condition called acute pulmonary edema, requiring emergency treatment.

Coronary Artery Disease
What Is Coronary Heart Disease?

Coronary heart disease (CHD) is a disease in which a waxy substance called plaque (plak) builds up inside the coronary arteries. These arteries supply oxygen-rich blood to your heart muscle.
When plaque builds up in the arteries, the condition is called atherosclerosis (ATH-er-o-skler-O-sis). The buildup of plaque occurs over many years.

Valvular Heart Disease
What Is Valvular Heart Disease?
Heart valve disease occurs when your heart’s valves do not work the way they should.

How Do Heart Valves Work?
Your heart valves lie at the exit of each of your four heart chambers and maintain one-way blood flow through your heart. The four heart valves make sure that blood always flows freely in a forward direction and that there is no backward leakage. Blood flows from your right and left atria into your ventricles through the open mitral and tricuspid valves.

Arrhythmia
What Is Arrhythmia?
An arrhythmia is an irregular heartbeat – the heart may beat too fast (tachycardia), too slowly (bradycardia), too early (premature contraction) or too irregularly (fibrillation). Arrhythmias are heart-rhythm problems – they occur when the electrical impulses to the heart that coordinate heartbeats are not working properly, making the heart beat too fast/slow or inconsistently.

Many heart arrhythmias are harmless. We all occasionally experience irregular heartbeats, which may feel like a racing heart or fluttering. Some arrhythmias, however, especially if they veer too far from a normal heartbeat or result from a weak or damaged heart, may cause troublesome and even potentially fatal symptoms.

Onsite non-invasive testing procedures include:

Four-dimensional Echocardiography
4DE (i.e., dynamic three-dimensional) echocardiography is a new developing technique in recent years. In our study, a three-dimensional echo scan computer system was used to acquire and store the two-dimensional information, then to reconstruct the stereoscopic image of the heart according to its space-time continuum. It can yield a better approach, which can help identify the various structures of the heart and great arteries and facilitate understanding of spatial relations and motion. In addition, it can display physiologic information such as the direction, course, size, and shape of the blood flow.
Contrast Echocardiography
Contrast echocardiography is a technique for improving echocardiographic endocardial border delineation and providing real time assessment of intracardiac blood flow. Agitated saline contrast provides contrast in the right heart and enables detection of right-to-left shunts. Opacification of the left ventricular (LV) cavity by contrast agents developed to traverse the pulmonary vasculature permits improved left ventricular endocardial border detection, thus improving the assessment of left ventricular dimensions and wall motion. Contrast echocardiography can also enhance delineation of Doppler signal. Additional uses of contrast echocardiography include assessment of myocardial perfusion
Stress Echocardiogram with 4D probe
Stress echocardiography is a test that uses ultrasound imaging to show how well your heart muscles are working to pump blood to your body. It is mainly used to detect a decrease in blood flow to the heart – coronary artery disease.
Digital Holter monitoring (24, 48, 72 hours, or 2 weeks)
A holter monitor is an instrument that is used to continuously record the heart’s electrical activity over a period of one to three days in order to diagnose or monitor patients with arrhythmias or who report transient heart problems. A series of electrodes attached to the chest are connected to a small device worn on the patient’s belt or around the neck, which keeps a log of the heart’s electrical activity throughout the recording period.
IMT (Intimal Medial Thickness) technology
Intima-media thickness (IMT) scanning uses ultrasound technology and is a simple procedure that is noninvasive, painless, and free of radiation. It can predict risk of heart attack or stroke better than an angiogram. IMT is measured by taking pictures of your carotid artery using an ultrasound probe on your neck.

If needed, Transeshophageal Echos can be arranged at the Toronto East General Hospital.